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6. The nurse evaluates the effectiveness of actions. Which of the following findings indicate effectiveness? Select all that apply. O Able to tolerate a bland diet. 2. Vomits once blood tinged material H.Pylori test is negative 4. Verbalizes pain to abdomen of 8/10 5. BP 90/40, P 114, R 26, 02 sat 94% 6. Bowel sounds are hyperactive In all 4 quads 7. Pain stated as 2/10 to L BKA

6. The nurse evaluates the effectiveness of actions. Which of the following findings indicate effectiveness? Select all that apply. O Able to tolerate a bland diet. 2. Vomits once blood tinged material H.Pylori test is negative 4. Verbalizes pain to abdomen of 8/10 5. BP 90/40, P 114, R 26, 02 sat 94% 6. Bowel sounds are hyperactive In all 4 quads 7. Pain stated as 2/10 to L BKA

Comprehensive Medical Terminology
Comprehensive Medical Terminology
4th Edition
ISBN:9781133478850
Author:Jones
Publisher:Jones
Chapter22: Pharmacology
Section: Chapter Questions
Problem E4CRE
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Gm 4. Use an X for the nursing actions listed below that are Indicated (appropriate or necessary, Contraindicated (could be harmful) or Non-Essential (makes no difference or not necessary) for the client's care at this time. Only one selection can be made for each nursing action. Indicated Contraindicated Non-Essential Nursing Action Give AM meds as prescribed Perform a test for rebound tenderness Give toradol IM for phantom limb pain Place NGT to decompress Call lab results to HCP Perform a through abdominal assessment The client's breakfast tray is served. The client calls the nurse to the room because after eating sausage served on their tray, they state the pain to their abdomen is now a 9/10. They describe the pain as a burning, stabbing pain to their hypogastric area. The patient's breath has a foul odor and they state they are nauseated. The nurse calls the HCP. New orders received include lansoprazole 15 mg one PO daily, ondansetron 4 mg ODT q 4 H, CBC and H. Pylori lab test. AM VS 100/70, P 100, R 18, T 98.4 F, 02 94%. The client is given pantoprazole and ondesetron. The client has a large black tarry stool. The client states their nausea is relieved, but their pain is still unchanged. 5. Use an X (or drag and drop) to indicate which actions listed in the left column would be implemented. Actions Implemented Call the HCP about stool Send stool for stool culture Hold ASA and clopidigrel Place warm kpad to abdomen Perform FOBT on stool Order a high fiber diet 6. The nurse evaluates the effectiveness of actions. Which of the following findings indicate effectiveness? Select all that apply. O Able to tolerate a bland diet. 2. Vomits once blood tinged material 3 H.Pylori test is negative 4. Verbalizes pain to abdomen of 8/10 5. BP 90/40, P 114, R 26, 02 sat 94% 6. Bowel sounds are hyperactive In all 4 quads 7. Pain stated as 2/10 to L BKA 3
Transcribed Image Text:Gm 4. Use an X for the nursing actions listed below that are Indicated (appropriate or necessary, Contraindicated (could be harmful) or Non-Essential (makes no difference or not necessary) for the client's care at this time. Only one selection can be made for each nursing action. Indicated Contraindicated Non-Essential Nursing Action Give AM meds as prescribed Perform a test for rebound tenderness Give toradol IM for phantom limb pain Place NGT to decompress Call lab results to HCP Perform a through abdominal assessment The client's breakfast tray is served. The client calls the nurse to the room because after eating sausage served on their tray, they state the pain to their abdomen is now a 9/10. They describe the pain as a burning, stabbing pain to their hypogastric area. The patient's breath has a foul odor and they state they are nauseated. The nurse calls the HCP. New orders received include lansoprazole 15 mg one PO daily, ondansetron 4 mg ODT q 4 H, CBC and H. Pylori lab test. AM VS 100/70, P 100, R 18, T 98.4 F, 02 94%. The client is given pantoprazole and ondesetron. The client has a large black tarry stool. The client states their nausea is relieved, but their pain is still unchanged. 5. Use an X (or drag and drop) to indicate which actions listed in the left column would be implemented. Actions Implemented Call the HCP about stool Send stool for stool culture Hold ASA and clopidigrel Place warm kpad to abdomen Perform FOBT on stool Order a high fiber diet 6. The nurse evaluates the effectiveness of actions. Which of the following findings indicate effectiveness? Select all that apply. O Able to tolerate a bland diet. 2. Vomits once blood tinged material 3 H.Pylori test is negative 4. Verbalizes pain to abdomen of 8/10 5. BP 90/40, P 114, R 26, 02 sat 94% 6. Bowel sounds are hyperactive In all 4 quads 7. Pain stated as 2/10 to L BKA 3
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